BACKGROUND: Metabolic and endocrine environment during early life is crucial for metabolic imprinting. When dams were fed a high fat diet (HF diet), rat offspring developed hypothalamic leptin resistance with lean phenotype when weaned on a normal diet. Interestingly, when grown on the HF diet, they appeared to be protected against the effects of HF diet as compared to offspring of normally fed dams. The mechanisms involved in the protective effect of maternal HF diet are unclear. METHODOLOGY/PRINCIPAL FINDINGS: We thus investigated the impact of maternal high fat diet on offspring subjected to normal or high palatable diet (P diet) on metabolic and endocrine parameters. We compared offspring born to dams fed P or HF diet. Offspring born to dams fed control or P diet, when fed P diet exhibited a higher body weight, altered hypothalamic leptin sensitivity and metabolic parameters suggesting that maternal P diet has no protective effect on offspring. Whereas, maternal HF diet reduces body weight gain and circulating triglycerides, and ameliorates corpulence index of offspring, even when subjected to P diet. Interestingly, this protective effect is differently expressed in male and female offspring. Male offspring exhibited higher energy expenditure as mirrored by increased hypothalamic UCP-2 and liver AdipoR1/R2 expression, and a profound change in the arcuate nucleus astrocytic organization. In female offspring, the most striking impact of maternal HF diet is the reduced hypothalamic expression of NPY and POMC. CONCLUSIONS/SIGNIFICANCE: HF diet given during gestation and lactation protects, at least partially, offspring from excessive weight gain through several mechanisms depending upon gender including changes in arcuate nucleus astrocytic organization and increased hypothalamic UCP-2 and liver AdipoR1/2 expression in males and reduced hypothalamic expression of NPY and POMC in females. Taken together our results reveal new mechanisms involved in the protective effect of maternal HF diet.
BACKGROUND: Metabolic and endocrine environment during early life is crucial for metabolic imprinting. When dams were fed a high fat diet (HF diet), rat offspring developed hypothalamic leptin resistance with lean phenotype when weaned on a normal diet. Interestingly, when grown on the HF diet, they appeared to be protected against the effects of HF diet as compared to offspring of normally fed dams. The mechanisms involved in the protective effect of maternal HF diet are unclear. METHODOLOGY/PRINCIPAL FINDINGS: We thus investigated the impact of maternal high fat diet on offspring subjected to normal or high palatable diet (P diet) on metabolic and endocrine parameters. We compared offspring born to dams fed P or HF diet. Offspring born to dams fed control or P diet, when fed P diet exhibited a higher body weight, altered hypothalamic leptin sensitivity and metabolic parameters suggesting that maternal P diet has no protective effect on offspring. Whereas, maternal HF diet reduces body weight gain and circulating triglycerides, and ameliorates corpulence index of offspring, even when subjected to P diet. Interestingly, this protective effect is differently expressed in male and female offspring. Male offspring exhibited higher energy expenditure as mirrored by increased hypothalamic UCP-2 and liver AdipoR1/R2 expression, and a profound change in the arcuate nucleus astrocytic organization. In female offspring, the most striking impact of maternal HF diet is the reduced hypothalamic expression of NPY and POMC. CONCLUSIONS/SIGNIFICANCE: HF diet given during gestation and lactation protects, at least partially, offspring from excessive weight gain through several mechanisms depending upon gender including changes in arcuate nucleus astrocytic organization and increased hypothalamic UCP-2 and liver AdipoR1/2 expression in males and reduced hypothalamic expression of NPY and POMC in females. Taken together our results reveal new mechanisms involved in the protective effect of maternal HF diet.
Obesity has been considered to result from both a genetic prevalence and inadequate
nutrition due to lifestyle, and more recently epidemiological evidence raised the
notion of a developmental origin of this pathology and associated diseases [1]. According to
the «thrifty phenotype» hypothesis [2], a poor fetal nutrition leads to
programming of an adult phenotype that is adapted to poor nutrition, but a mismatch
between predicted and postnatal environment then promotes a persistent dysregulation
of the body weight control [3]. Thus, low-birth-weight babies due to adverse foetal
conditions often display an increased susceptibility to develop a metabolic syndrome
when submitted to plentiful conditions later in life [4], [5]. Such a developmental
programming, reproduced in animal models by maternal undernutrition [6], is in part
attributed to a relative lack of leptin during crucial time windows in the
developmental neuronal plasticity, since a normal adult phenotype may be restaured
after treatment of either pregnant dams [7] or suckling pups [8], [9] by exogenous
leptin. This pleiotropic adipocyte-derived cytokine acts as an essential
neurotrophic factor along the development of the hypothalamic circuits regulating
metabolic homeostasis [10]. Later in life, leptin through its binding to specific
ObRb receptors (long isoform of leptin receptor) especially abundant in the arcuate
nucleus triggers the concerted signalling pathways leading to reduce appetite and
increase energy expenditure [11]. Moreover, the growing proportion of women that are
overweight before and during pregnancy and lactation [12] raised the question of the impact
of leptin excess during critical perinatal periods on the risk of becoming obese in
adulthood. Indeed this risk has been shown to be increased in pups issued from dams
treated with leptin before weaning [13] or overfed by suckling in small litters [14]. While
maternal high-fat diets have been often reported to program obesity in offspring
[15]–[19], discrepant results obtained in rodents may be related to
the choice of the strain, the litter size and the composition of the inappropriate
diet promoting maternal obesity, mimicking the features of hypercaloric foods
available in modern societies [20], [21].In a previous study carried in Wistar rats [22], pups reared in large
litters and born to dams fed a high-fat (HF) diet, from before conception and
throughout gestation and lactation, displayed a lower weaning body weight as
compared to their counterparts born to control dams. Their growth retardation was
related to the abnormal fall in body weight observed in lactating dams. After 6
weeks feeding a control diet from weaning, these pups were characterized by a defect
of leptin signaling in hypothalamus despite a lean phenotype and normal leptin,
insulin, glucose and lipid plasma levels [22]. Interestingly, when the
same HF diet was provided for 6 weeks after weaning, only males issued from normally
fed dams become overtly obese while those born to HF dams were protected against the
obesogenic effect of the HF diet, despite the same defective hypothalamic leptin
signaling. Their «spendthrift» phenotype suggested a persistent
modification of the energy control, in agreement with a predictive adaptive response
[23] to the
inappropriate HF diet [24]–[26].In the present paper, a highly palatable (P) diet was used (experiment 1, Figure 1) to induce maternal
obesity [27],
then the adult phenotype of male offspring was compared to that of control rats born
to chow-fed dams. When pups issued from obese dams were assigned to the chow diet at
weaning, they displayed inherited defective leptin signaling in hypothalamus, which
persisted until age of 6 months despite normal body weight evolution. However, pups
born to obese P dams and weaned on the same P diet were not protected against diet
induced obesity. Clearly the two inappropriate HF and P diets have distinct impacts
on both dams and pups, likely in relation with their different palatability or
composition. Both diets (HF and P) were then used (experiment 2, Figure 1) in order to study
whether adult pups born to HF dams and weaned on a chow diet, will be more or less
susceptible than control rats to develop obesity when switched to the obesogenic P
diet, a question that remained unresolved in our previous study [22]. Thus,
male and female offspring born to HF or control dams were assigned to the control
diet for 7 post-weaning weeks, and then switched to the P diet for 3 additional
months. Our results clearly showed that offspring from both genders born to HF dams
were protected from the obesogenic effect of P diet as their body weight gain was
lower as compared to offspring born to chow dams. In addition, the potential
protective effect of maternal HF diet involves most likely different
gender-dependent mechanisms.
Figure 1
Model depecting the experimental protocol for experiment 1 and experiment
2.
C, P and HF diets correspond to Chow, High palatable diet and High Fat diet,
respectively.
Model depecting the experimental protocol for experiment 1 and experiment
2.
C, P and HF diets correspond to Chow, High palatable diet and High Fat diet,
respectively.
Results
Experiment 1
Females and pups until weaning
According to the cumulative food intake measured during 4 weeks before mating
and the energy density of each dry diet (Table 1), the mean daily amount of food
ingested per rat (measured every two days on 4 cages of 4 rats in each
group) was higher for the P diet (25.1±0.4 g as wet P diet or
16.6±0.3 g as dry P diet) than for the C diet (15.18±0.18 g,
p<0.0001), then providing more energy (65.2±1 and 56.2±0.7
kcal, p<0.0001, respectively). The number of females which became
pregnant (12 out of 16 animals in each group) and the initial size of the
litters (11.7±0.8 and 11.7±0.9 pups from P and C dams,
respectively) were not influenced by the maternal diet, but the male/female
ratio (0.79 for 140 pups born to P dams versus 1.16 for 141 pups born to C
dams) was inversed. No difference appeared in the mean birthweight and after
the litter size was equilibrated to 11–12 pups at birth, the evolution
of the mean litter weight was identical regardless the maternal diet until
weaning (results not shown). As shown in Figure 2, P dams became overtly obese
compared to C dams (n = 12 per group) and their
overweight (about 15% before mating) was maintained after 120 days of
experimental diet, i.e 20 days after weaning. At this time, fasting plasma
level of leptin was clearly higher in P dams (6.5±1.3 ng/mL,
n = 6) than in control dams (1.9±0.5 ng/mL,
n = 7, p<0.005).
Table 1
Energy content of the commercial chow diet (C) and the
semi-purified highly palatable (P) and high-fat (H) diets.
Energy (kcal %) derived from
C
P
H
Carbohydrates
66.2
70
22.6
Proteins
22.7
14.6
12.9
Lipids
11.1
15.4
64.5
Energy content (kcal/100 g of dry diet)
370.1
392.6
571.9
Figure 2
Evolution of the body weight of dams fed the control (C) diet
(n = 16) or highly palatable diet (P)
(n = 16) for 6 wk before mating, throughout
gestation and lactation (28 days) and until the postweaning period
(*p<0.05).
Offspring after weaning
Daily energy intakes and final physiological parameters measured in adult
fasted rats are shown in Table 2. Mean daily energy intakes were calculated from daily
food intakes measured twice a week from the 2nd to the
6th post-weaning week on 10 cages of 2 rats per group. The
highest value was found in the PC group of rats fed the highly palatable P
diet and born to normally fed dams. Their counterparts born to obese dams
(PP group) ingested less energy for a similar weight gain, suggesting a
better food efficacy of the P diet in this group. The maternal diet did not
affect CC and CP rats, which both displayed a lean phenotype while their
energy intake was close to that of obese PP rats. As observed in Figure 3, independently of
maternal diet a striking effect of the post-weaning diet appeared on the
body weight evolution and gain. The same conclusion was drawn by comparing
plasma concentrations of triglycerides, leptin and insulin, all reported in
Table 2. These
parameters were higher in rats fed the P diet (PP and PC groups) than in
rats fed the chow diet (CC and CP groups). The only differences concerned
the plasma levels of leptin which were lower in CP rats than in control CC
rats, and the plasma levels of insulin and HOMA index of PP rats which
overpassed those of PCrats. In addition, the lowest plasma cholesterol
value was found in PP rats, indicating a long-term impact of the maternal
metabolic status on these parameters.
Table 2
Physiological parameters measured in fasted and fed male rats
(age: 11 weeks) from 4 experimental groups named according to the
post-weaning and maternal chow or palatable diet (C or P as
1st and 2 nd letter, respectively).
Group
CC
CP
PC
PP
Daily energy intake
(Kcal/day)
87.2±1.3a
83.2±4.5a
99.1±1.9b
88.4±2.5a
(n)
(16)
(16)
(16)
(16)
Overnight Fasted
(n)
(20)
(20)
(20)
(20)
Liver weight (g)
12.0±0.3a
12.0±0.4a
14.3±0.3b
13.9±0.3b
%Body weight
2.32±0.05bc
2.39±0.05c
2.20±0.04ab
2.10±0.04a
Liver lipids (mg/g)
3.04±0.22
2.53±0.18
3.08±0.18
2.80±0.20
Plasma
(n)
(20)
(20)
(20)
(20)
Glucose (g/L)
0.928±0.017
0.996±0.031
1.019±0.026
1.006±0.025
Insulin (ng/mL)
0.631±0.09a
0.761±0.071a
1.703±0.128b
2.328±0.224c
HOMA*
3.54±0.38a
4.71±0.55a
10.39±0.80b
14.07±1.33c
Leptin (ng/mL)
3.57±0.64b
2.64±0.57a
11.49±1.51c
14.69±4.64c
Triglycerides (g/L)
0.84±0.047a
0.742±0.049a
1.268±0.094b
1.481±0.112b
Cholesterol (g/L)
0.862±0.058b
0.813±0.036b
0.707±0.036b
0.654±0.025
*calculated according to Tumer et al. (1993),
**subgroup of rats injected with physiological saline
(n = 10). Different superscript letters
a,b,c denote significant differences at p<0.05
by ANOVA and the Fisher posthoc test.
Figure 3
Impact of post weaning diet on the body weight of male pups born
to dams fed the control diet (C) or highly palatable diet
(P).
At weaning four groups of male pups (CC, n = 32;
CP, n = 35; PC, n = 34;
PP, n = 32) were formed and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or P, second letter) and their body weight and body weight gain were
registred during 20 weeks after weaning. Body weight and final body
weight gain are reported in panel 3A and 3B, respectively
(*p<0.05).
Impact of post weaning diet on the body weight of male pups born
to dams fed the control diet (C) or highly palatable diet
(P).
At weaning four groups of male pups (CC, n = 32;
CP, n = 35; PC, n = 34;
PP, n = 32) were formed and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or P, second letter) and their body weight and body weight gain were
registred during 20 weeks after weaning. Body weight and final body
weight gain are reported in panel 3A and 3B, respectively
(*p<0.05).*calculated according to Tumer et al. (1993),**subgroup of rats injected with physiological saline
(n = 10). Different superscript letters
a,b,c denote significant differences at p<0.05
by ANOVA and the Fisher posthoc test.
Hypothalamic leptin sensitivity of offspring
The hypothalamic leptin sensitivity was assessed in each group by comparing
the phoshorylation levels of STAT3 and ERK1/2 in response to a bolus of
leptin. Briefly, 11 week-old rats from the four groups were starved
overnight and divided in two groups that receive by IP saline or leptin,
respectively. The phoshorylation levels of STAT-3 and ERK1/2 were measured
by Western blot. Leptin IP bolus induced STAT-3 (fig. 4A and 4B) and ERK1/2 (fig. 4C and fig. 4D) phosphorylation
only in CC groups, whereas the other groups displayed a clear hypothalamic
leptin-resistance (Fig.
4).
Figure 4
Phosphorylation of STAT-3 and ERK in the hypothalamus of male
offspring born to dams fed the control diet (C) or highly palatable
diet (P).
At weaning four groups of male pups (CC, CP, PC, PP) were formed and
named according to the post weaning diet (C or P, first letter) and
to maternal diet (C or P, second letter). Each goup contained 20
rats was divided into two sub-groups that received by IP either
saline (n = 10) or leptin
(n = 10). In each group, the sensitivity toward
leptin was assessed by a significant elevation of the mean
p-STAT-3/t-STAT-3 and p-ERK/t-ERK ratio in leptin-injected compared
to saline-injected rats. Panel A and C show representative
western-blots for total and phosphorylated STAT-3 and ERK,
respectrively. Panels B and D show the mean ratio band density of
phosphorylated and total STAT-3 and ERK, respectively;
(**p<0.005; * p<0.05).
Phosphorylation of STAT-3 and ERK in the hypothalamus of male
offspring born to dams fed the control diet (C) or highly palatable
diet (P).
At weaning four groups of male pups (CC, CP, PC, PP) were formed and
named according to the post weaning diet (C or P, first letter) and
to maternal diet (C or P, second letter). Each goup contained 20
rats was divided into two sub-groups that received by IP either
saline (n = 10) or leptin
(n = 10). In each group, the sensitivity toward
leptin was assessed by a significant elevation of the mean
p-STAT-3/t-STAT-3 and p-ERK/t-ERK ratio in leptin-injected compared
to saline-injected rats. Panel A and C show representative
western-blots for total and phosphorylated STAT-3 and ERK,
respectrively. Panels B and D show the mean ratio band density of
phosphorylated and total STAT-3 and ERK, respectively;
(**p<0.005; * p<0.05).
Experiment 2
The experiment 2 was performed in order to study the impact of high fat diet
(HF) during pregnancy and lactation on offspring when swithched to a high
palatable diet (P) at the adulthood. The measurement of food intake twice a
week before mating (14 cages of 2 rats per group) indicated that dams fed
the high fat diet daily ingested less food than control dams fed the chow
diet (12.6±0.2 vs 18.2±0.2 g/rat, p<0.0001), which however
provided more energy (71.9±1.1 kcal/day vs 67.4±0.7 kcal/day,
p<0.002) due to the high caloric density of the HF diet. After 7 weeks,
the body weight of HF females (301±5 g, n = 28)
did not significantly exceed that of C dams (291±3,
n = 28) before mating, as observed before delivery
(467±9, n = 21 and 455±6 g,
n = 25, respectively) and just after, since the body
weight fall was similar in the two groups (98±4 and 102±5 g,
respectively). All lactating HF dams then became gradually thiner and their
body weight at weaning was markedly lower than that of control dams
(319±7 g, n = 21 versus 351±5 g,
n = 25, p<0.0001).This pattern is illustrated in
Figure 5 for HF and
C dams. The proportion of HF females which become pregnant was smaller than
in the control group (23 vs 28 out of 28 females per group) as was the
litter size at birth (n = 11.2±0.6 vs
n = 13.1±0.7, p<0.05). Regardless of gender,
the mean birthweight of pups issued from HF dams was lower than that of pups
issued from C dams (6.15±0.04 g, n = 227 vs
6.77±0.07 g, n = 286, p<0,0001) and the
male/female ratio was similar in the 2 groups (1.14 and 1.03,
respectively).
Figure 5
Evolution of the body weight of dams fed the control (C) diet
(n = 28) or high-fat diet (HF)
(n = 28) for 6 wk before mating, throughout
gestation and lactation (28 days) and until the postweaning period
(*p<0.05).
The maternal diet markedly influenced the weaning body weight of pups, which
was dramatically lower in males (53.4±1.8 g,
n = 48) and females (50.2±2.0 g,
n = 48) born to HF dams compared to those born to
control dams (77.4±1.6, n = 41 and
73.0±1.0, n = 42, p<0.0001, respectively).
The observations were continued on pups issued from 19 litters from HF dams
and 23 from C dams.
Adult offspring born to HF or C dams
• After 7 weeks feeding the chow diet since weaning
The body weight measured after 7 post-weaning weeks on the chow diet is
presented in Table
3 for the 4 groups of adult offspring. The effect of the
maternal HF or C diet persisted in the two genders: the growth
retardation of pups issued from HF dams, which averaged 32% of
body weight at weaning, was partially caught up and represented about
17% in male and 12% in female pups. The absolute body
weight gain was identical in the two groups of females regardless the
maternal diet, while males born to HF dams growed relatively more slowly
than those born to C dams. Taking into account the classical sexual
dimorphism in the body growth in the rat species, results were then
analyzed separately for each gender (table 3).
Table 3
Body weights and post-weaning body weight gains of offspring
born to dams fed the chow (C) or the high-fat (H) diet and fed
the chow diet for 7 weeks since weaning.
Gender
Male
Female
Maternal Diet
Chow
High-fat
Chow
High-fat
Group
MC
MH
FC
FH
(n)
(42)
(48)
(40)
(48)
Body weight (g)
410±7a
339±6b
244±4a
214±3b
Post-weaning body weight gain (g)
332±7a
288±5b
171±4a
167±3a
Different superscript letters a,b denote
significant differences at p<0.05 by ANOVA and the Fisher
posthoc test.
Different superscript letters a,b denote
significant differences at p<0.05 by ANOVA and the Fisher
posthoc test.
• Challenged for the highly palatable P diet or maintained on
the control C diet
As shown in Figure 6,
swithching from C diet to the P diet for additional 3 months markedly
increased the body weight for both genders but regardless the diet, rats
born to HF dams still displayed a lower final body weight than their
counterparts born to control dams (Fig. 6). The effect of the maternal
diet was also observed for the corpulence index (Table 4) which was similar in
offspring born to C dams and fed the C diet and those born to HF dams
and fed the P diet. The maternal diet did not influence the absolute
weight gain (measured between week 7 and the end of the experiment and
corresponding to the switch to P diet) of males under the C or P diet
(Fig. 6), while
females issued from HF dams gained significantly less body weight, under
the P diet as compared to those issued from C dams (Fig. 6).
Figure 6
Impact of post weaning diet on the body weight of male and
female pups born to dams fed the control diet (C) or high-fat
diet (HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n from 20 to 26) and named according to the
post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups
were assigned to chow diet then swithched to C or P diet for 13
additional weeks. Body weight and body weight gain are reported
in panel A and B, respectively. Different superscript letters
a,b,c denote significant differences at p<0.05
by ANOVA and the Fisher posthoc test.
Table 4
Corpulence and plasma parameters measured in male and females
offspring of dams fed the control or high-fat diet (C or H as
3rd letter) after feeding the control or highly
palatable diet (C or P as 2nd letter) for three
months.
Males
MCC
MCH
MPC
MPH
(n)
(20)
(22)
(21)
(26)
Body weight (g)
524±13b
458±11a
653±17d
573±11c
Naso-anal length (cm)
25.67±0.18b
24.82±0.16a
26.79±0.25c
26.27±0.17c
Corpulence index*
0.83±0.02b
0.77±0.02a
0.94±0.02c
0.86±0.01b
Body weight gain (g)
144±7a
139±5a
259±11b
251±10b
Plasma glucose (g/L)
0.93±0.01a
0.95±0.01a
1.01±0.02b
1.00±0.02b
Plasma insulin (ng/mL)
0.44±0.04a
0.36±0.05a
1.24±0.12b
1.16±0.10b
Plasma leptin (ng/mL)
3.55±0.48b
2.98±0.45a
12.61±0.84c
12.80±1.46c
Plasma Triglycerides (g/L)
0.89±0.07b
0.73±0.05a
1.83±0.13c
1.28±0.12b
Plasma Cholesterol (g/L)
0.63±0.03
0.55±0.02
0.60±0.04
0.56±0.02
Different superscript letters a,b,c,d denote
significant differences at p<0.05 by ANOVA and the Fisher
posthoc test.
Impact of post weaning diet on the body weight of male and
female pups born to dams fed the control diet (C) or high-fat
diet (HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n from 20 to 26) and named according to the
post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups
were assigned to chow diet then swithched to C or P diet for 13
additional weeks. Body weight and body weight gain are reported
in panel A and B, respectively. Different superscript letters
a,b,c denote significant differences at p<0.05
by ANOVA and the Fisher posthoc test.Different superscript letters a,b,c,d denote
significant differences at p<0.05 by ANOVA and the Fisher
posthoc test.Compared to the C diet, the P diet increased plasma TG, insulin and
leptin levels in both genders, and glucose only in males. In both
genders and for each diet, plasma TG levels were lower in rats born to
HF dams than in those born to C dams. Similar variations were observed
for leptin levels, which appeared to be more influenced by the maternal
diet than insulin levels. Plasma leptin levels were lower in female born
to HF dams and fed P diet compared to those born to C dams and fed P
diet. In females but not in males, cholesterol varied in parallel with
TG, with higher values under the P diet (Table 4).Daily food intake was measured during 8 days, one month after the dietary
challenge, and the daily energy intake was calculated, as shown in Table 5.
Independently of their diet (C or P), the relative daily energy intake
is significantly increased in males born to HF dams. In females born to
HF dams relative daily energy Intake was reduced when fed control diet,
but when fed P diet offspring born to HF or C dams exhibited similar
relative energy intake (Table 5).
Table 5
Daily energy intake (calculated by animal and by 100 g body
weight) in male and female 16 week-old rats (2 or 3 by cage),
after 4 weeks feeding the palatable P diet or maintained on the
chow C diet since weaning (P or C, respectively as
2nd letter), according to the maternal chow or
high-fat diet (C or H, respectively as 3rd letter).
Male rats
MCC
MCH
MPC
MPH
(n)
(21)
(21)
(22)
(29)
Body weights (g)
483±12b
417±11a
546±15c
459±9ab
Daily energy intake (kcal/rat)
88.5±2.7a
86.7±3.1a
101.7±2.6b
95±2.2b
Relative daily energy intake (kcal/100 g
body weight)
18.7±0.4a
20.9±0.4b
17.9±0.7a
20.4±0.5b
Different superscript letters a,b denote
significant differences at p<0.05 by ANOVA and the Fisher
posthoc test.
Different superscript letters a,b denote
significant differences at p<0.05 by ANOVA and the Fisher
posthoc test.
Impact on key genes involved on energy homeostasis
To evaluate the impact of maternal C or HF diet on the hypothalamic and
hepatic gene expression levels of male and female offspring challenged with
high palatable diet, we have focused our interest on some key genes involved
in the control of food intake, energy homeostasis or
insulin-sensitivity.In male offspring, the hypothalamic expression of UCP2, NPY and POMC was
lower in PC group than in the other groups (Fig. 7). Moreover ObRb was clearly less
expressed in PC and PH groups as compared to CC group, with a similar
tendency for CH group (Fig.
7). In contrast, IR expression was not affected by dietary
conditions (data not shown). We have also shown that POMC and AgRp
expression were not affected by dams' diet by immunohistochemistry
(Supporting Data, Fig S1). In the liver, the expression
level of phosphotyrosine phosphatase 1B (PTP-1B) was significantly increased
in PH group as compared to the other groups (Fig. 8), and a similar effect was found
for the expression of adiponectin receptors 1 and 2. Insulin receptor
expression was significantly reduced in CH group as compared to the
others.
Figure 7
Impact of post weaning diet on hypothalamic gene expression of
male pups born to dams fed the control diet (C) or high-fat diet
(HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n = 10) and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups were
assigned to chow diet then swithched to C or P diet for 13
additional weeks. UCP-2, NPY, POMC and ObRb expression were measured
by quantitative RT-PCR and results were normalized to 18S RNA.
Different superscript letters a,b denote significant
differences at p<0.05 by ANOVA and the Fisher posthoc test.
Figure 8
Impact of post weaning diet on hepatic gene expression of male
pups born to dams fed the control diet (C) or high-fat diet
(HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n = 10) and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups were
assigned to chow diet then swithched to C or P diet for 13
additional weeks. UCP-2, NPY, POMC and ObRb expression were measured
by quantitative RT-PCR and results were normalized to 18S RNA.
Different superscript letters a,b denote significant
differences at p<0.05 by ANOVA and the Fisher posthoc test.
Impact of post weaning diet on hypothalamic gene expression of
male pups born to dams fed the control diet (C) or high-fat diet
(HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n = 10) and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups were
assigned to chow diet then swithched to C or P diet for 13
additional weeks. UCP-2, NPY, POMC and ObRb expression were measured
by quantitative RT-PCR and results were normalized to 18S RNA.
Different superscript letters a,b denote significant
differences at p<0.05 by ANOVA and the Fisher posthoc test.
Impact of post weaning diet on hepatic gene expression of male
pups born to dams fed the control diet (C) or high-fat diet
(HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n = 10) and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups were
assigned to chow diet then swithched to C or P diet for 13
additional weeks. UCP-2, NPY, POMC and ObRb expression were measured
by quantitative RT-PCR and results were normalized to 18S RNA.
Different superscript letters a,b denote significant
differences at p<0.05 by ANOVA and the Fisher posthoc test.In female offspring, hypothalamic expression of POMC and NPY was affected by
maternal diet independently of offspring diet (fig. 9) and expression of Obrb was only
increased in PC group whereas UCP2 expression was not affected (fig. 9). In liver, no
significant change was observed for PTP-1B, IR, AdipoR1 or AdipoR2 (data not
shown).
Figure 9
Impact of post weaning diet on hypothalamic gene expression of
female pups born to dams fed the control diet (C) or high-fat diet
(HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n = 10) and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups were
assigned to chow diet then swithched to C or P diet for 13
additional weeks. UCP-2, NPY, POMC and ObRb expression were measured
by quantitative RT-PCR and results were normalized to 18S RNA.
Different superscript letters a,b denote significant
differences at p<0.05 by ANOVA and the Fisher posthoc test.
Impact of post weaning diet on hypothalamic gene expression of
female pups born to dams fed the control diet (C) or high-fat diet
(HF).
At weaning offspring were divided into four groups of each gender
(CC, CH, PC, PH; n = 10) and named according to
the post weaning diet (C or P, first letter) and to maternal diet (C
or H, second letter). From weaning to 7 weeks of age all groups were
assigned to chow diet then swithched to C or P diet for 13
additional weeks. UCP-2, NPY, POMC and ObRb expression were measured
by quantitative RT-PCR and results were normalized to 18S RNA.
Different superscript letters a,b denote significant
differences at p<0.05 by ANOVA and the Fisher posthoc test.
Impact of a HF diet on the cytoarchitectonic organization of the
hypothalamus
Since high fat diet given to dams seemed to deeply affect the offspring energy
homeostasis, we hypothesized that this could be associated to changes in
hypothalamic and more precisely in arcuate nucleus organization. The
immunohistochemical detection in the ARC revealed that the maternal HF diet
induced a significant increase in the density of astrocytic processes around the
blood vessels in males (p<0.05) at weaning whereas this alteration was not
observed in females (fig.
10). This gender-specific modification was maintained until adulthood
(data not shown). It is to notice that the maternal HF diet had no effect on the
vascularisation or the global astrocyte coverage in the ARC, whatever the
gender.
Figure 10
Co-detection of a glial marker (GFAP) and an endothelial marker
(laminin) in male (A–F) and female (G–L) offspring born to
dams fed a control (A–C ; G–I) or a high-fat (D–F ;
J–L) diet in the arcuate nucleus (ARC) at weaning.
Maternal HF diet significantly increases the density of astrocytic
processes around the blood vessels in males (p<0.05) but not in
females (D–F, M). Scale bars = 33
µm.
Co-detection of a glial marker (GFAP) and an endothelial marker
(laminin) in male (A–F) and female (G–L) offspring born to
dams fed a control (A–C ; G–I) or a high-fat (D–F ;
J–L) diet in the arcuate nucleus (ARC) at weaning.
Maternal HF diet significantly increases the density of astrocytic
processes around the blood vessels in males (p<0.05) but not in
females (D–F, M). Scale bars = 33
µm.
Discussion
The highly palatable P diet used in the present study has been initally presented as
an alternative to the classical cafeteria diet to promote a massive obesity [27], [28]. Thus the P diet
induced a massive obesity in dams, which was persistent from before mating and
throughout gestation and lactation as pups were reared in large litters. At weaning,
pups born to P dams exhibited slight growth retardation as compared with those born
to control dams. This observation might be surprising since stress is likely
minimized in pups weaned on day 28 (instead of day 21), which progressively complete
milk by the maternal solid food, as under natural conditions. For comparison with
our previous study, dams fed the HF diet (60% energy as palm oil) only
presented a slight overweight before mating, followed by a spectacular body weight
loss during the lactation period [22] and weaning pups weighed
10% less than those of normally fed dams. Using a HF diet based also on
vegetal oil, others reported that gestation/lactation alleviate some of the effect
of HF feeding on body weight gain of dams compared to nonpregnant rats but at day
20, pups reared in small litters appeared heavier and fatter, and considered to be
more predisposed to obesity [19].Among the four groups of adult male rats born to C or P dams and weaned on the C or P
diet, only the control CC group exhibited an increased phosphorylation level of both
STAT3 and ERK1/2 in the hypothalamus in response to leptin challenge. It may be
concluded that in the three other groups, a central leptin-resistance was either
induced by the post-weaning P diet (PP and PC groups) and/or programmed by the
maternal P diet (CP group). Interestingly, only rats fed the post-weaning P diet
were overtly obese with classical associated traits of the metabolic syndrome, such
as hyperglycemia, hypertriglyceridemia, hyperinsulinemia and hyperleptinemia on
fasting state. Those born to P dams and weaned on the balanced C diet (CP group)
displayed a normal corpulence and their plasma parameters were quite similar to
those of control rats, as reflected by normal body composition. Thus, the defective
central leptin signaling, inherited by the offspring of obese dams, is quiescent in
these animals which display no tendency to become overweighed even after 5
post-weaning months on the control diet. The physiological significance of this
observation is not yet understood. Unexpectedly, the degree of obesity induced by
the post-weaning P diet was not exacerbated in offspring born to obese dams and
plasma parameters were similar in both groups of leptin-resistant rats, except
higher insulin and HOMA values and lower cholesterol level, in the PP than in the PC
group. It is to note that the food efficiency of the highly palatable P diet was
higher in the PP than in the PC group, suggesting that the maternal P diet
programmed a “thrifty” phenotype which tended to minimize the degree of
diet-induced obesity in the offspring, as a predictive adaptive response to the
obesogenic diet [23]. In the same way, the inherited “spendrift”
phenotype observed in offspring born to HF dams, when maintained on the same HF
diet, probably accounts for their unexpected resistance to the HF diet [22]. In order
to verify whether a maternal HF diet protects offspring from developing obesity and
metabolic/endocrine alterations, adult offsprings born to HF or control dams and
weaned on a chow diet were submitted thereafter to the obesogenic P diet. In both
genders, offspring born to HF dams and fed the C or P diet exhibited lower body
weight as compared to their counterparts born to control dam. Thus, the maternal HF
diet clearly affects body weight gain of pups, which confirms our previous data
[22]. In
addition, but only in males, the daily energy intake was higher for PH and CH groups
than for PC and CC groups, respectively. This suggests that male offspring of HF
dams exhibited higher energy expenditure which may account for their lower body
weight and corpulence index. In both gender, the P diet given in adulthood clearly
increased the plasma leptin levels which reached the same final value in PC and PH
groups, regardless the maternal diet. In females, plasma leptin was lower in PH
group than in PC group, likely in relation with the difference in body weight gain
between the two groups. Interestingly, in both genders, TG plasma levels were lower
in PH than in PC group, reflecting a potential protective effect of the maternal HF
diet against adverse effects of the P diet on offspring.In an attempt to understand mechanisms underlying the potential protective action of
maternal high fat diet, we have examined the hypothalamic and hepatic expression of
key genes involved in energy homeostasis, and also the astrocyte organization in the
hypothalamic ARC nuclei.In male offspring, the hypothalamic expression level of UCP-2 was significantly
reduced in PC group as compared to the other groups and specifically to PH group.
Thus, the maternal HF diet contributed to maintain UCP-2 expression level in PH
group similar to that of CC and CH groups and this may explain, at least partially,
the lower body weight of this group as compared to PC group. It has been reported
that mitochondrial respiration in the hypothalamus is dependent upon UCP-2 which is
involved in POMC neurons plasticity and also in NPY/AgRP activation in the fasted
state [29], [30]. Thus the
alteration of UCP-2 expression may affect energy homeostasis in PC group.
Furthermore, UCP-2 has been described to protect hypothalamic cells from
inflammation damage induced by TNF alpha [31]. This hypothesis is
reinforced by the fact that both POMC and NPY expressions were affected in PC group
as compared to PH group. The level of ObRb expression was affected in PC and PH as
compared to CC group which may be associated to the higher circulating leptin
levels. Interestingly, in male offspring liver, PH goup exhibited a higher
expression level of Adiponectin receptors R1/R2 as compared to the other groups.
AdipoR2 in liver is associated to increased fatty acid β oxidation and reduction
of circulating TG [32], this is in good agreement with our data where body
weight was lower and relative daily energy intake was higher in PH group as compared
to PC group. Furthermore, the TG plasma level is lower in PH group as compared to PC
and this could result, at least partially, from the overexpression of liver
AdipoR1/R2 in PH group.These results contrast with those obtained in females, where hypothalamic UCP-2
expression levels were similar in all studied groups whereas maternal HF diet seemed
to affect NPY and POMC expression levels in CH and PH groups. In liver, all studied
genes were not affected in females (data not shown). This suggests that HF diet
given to dams protects male and female offspring, from adverse effects of high
palatable diet at least at the level of corpulence index and metabolic markers such
as reduced TG, through probably gender-dependent mechanisms. This hypothesis is
reinforced by the fact that the maternal HF diet induced a significant increase in
the arcuate nucleus density of astrocytic processes around the blood vessels in
males but not in females at weaning. This gender-specific modification was
maintained until adulthood. It is to notice that the maternal HF diet had no effect
on the vascularisation or the global astrocyte coverage in the ARC, whatever the
gender. This gender-dependent change in the astrocytic coverage is probably due to
sexual dimorphism. Testosterone exposure has been shown to induce significant
increase in stellation response in ARC atrocytes [33]. The sexual differentiation of
astrocyte morphology has been also reported in other brain areas such as preoptic
area where testosterone induced significant modifications in process length and
number of astrocytes [34]. Thus, the increased density of astrocytes in male
offspring of HF dams may contribute to the formation of synapses and their efficacy
leading to establishment of synaptic patterning.In female offspring of HF dams, the protective effect of maternal HF diet is most
likely due to mechanisms that are not yet identified but it is noteworthy to take
into account the reduced expression levels of NPY and POMC at the hypothalamic level
in PH and CH female groups as compared to PC and CC groups. Since NPY is an
orexigenic neuropeptide this may at least partially explain the protective effect of
maternal HF diet by limiting then food intake despite the challenge with the P diet
leading to reduced body weight gain.Taken together, our data show that offspring born to overtly obese dams fed a highly
palatable P diet beared a defective leptin signaling in hypothalamus, which remained
silencious in pups weaned on the chow diet, thus without impact on their
predisposition to develop obesity, a situation observed in fructose-fed rats [35] and in our
previous study using a HF diet based on palm oil [22].Interestingly, when offspring born to dams fed P or H diet were compared (experiment
1 and 2), this clearly points out the protective effect of HF diet given to dams.
Because the offspring of HF diet dams are less exposed to body weight gain even when
fed palatable diet. The protective effect of maternal HF diet involves
gender-dependent mechanisms.
Materials and Methods
Ethics statement
Rat studies were carried out in agreement with the French legislation on animal
experimentation and with the authorization of the French Ministry of Agriculture
(Animal Health and Protection Directorate).
Diets
The commercial chow diet (C, formula 113 from Safe, F-89290 Augy) contained
55.9% starch, 20% protein, 4.5% lipid and was used as
ground (experiment 1) or pellets (experiment 2). The semi-solid highly palatable
P diet (experiments 1 and 2) was custom-made in our laboratory according to the
described formula (Holemans Ket al, 2004) using 33% ground commercial
chow (Safe 113), 33% full fat sweetened condensed milk, 7% sucrose
and 27% water. The semi-purified HF diet (experiment 2), adapted from Guo
and Jen [19],
contained palm oil as the main source of fat, as detailed [22]. The energy content
and distribution (as carbohydrates, protein and lipids) are given in Table 1 for the 3
experimental diets. Concerning the highly palatable P diet, the accurate
measurement of food and energy intake required a conversion factor between the
weight of fresh semi-solid preparation and its equivalent weight after
deshydratation: the value of 0.66, for the dry/wet diet weight ratio, was
obtained experimentally by dehydratation of the P diet under vacuum. For all the
diets, and especially the ground chow diet, food intakes were calculated after
subtracting the amount of spilled food, estimated by sifting the litters.
Care and maintenance of animals
Wistar rats were purchased from CER Janvier (Le Genest-St-Isle, France) and
maintained under controlled temperature (22±1°C), with a 12–12
h light-dark cycle (light on: 8:00 am) with food and water provided ad
libitum. The studies were carried out in agreement with the French
legislation on animal experimentation and with the authorization of the French
Ministry of Agriculture (Animal Health and Protection Directorate).
Experiment 1
Thirty-two females and 8 males (aged 8-weeks) were housed by 4 in collective
cages and given commercial pellets for one week for adaptation. Two groups
of 16 females were then formed according to the C (powdered Safe 113) or P
(highly palatable semi-solid preparation) diet given until the end of the
lactation period, and males received commercial pellets (Safe 113) (Fig. 1). After 6 weeks,
one male was introduced in each cage of females for mating in harem and
males were permuted every two days for 14 consecutive days. Timing of
delivery, litter size and weight were recorded at birth. Litters were
adjusted to 10–11 pups for each dam while maintaining sex ratio as
close to 1∶1 as possible. The whole litter weight was checked weekly
and the individual body weight of pups was registered at weaning, when aged
28 days. Four groups of 25–26 male pups each were formed and named
according to the post-weaning diet (C or P as first letter for control or
palatable diet, respectively) and maternal diet (C or P as 2nd
letter). Rats were caged by 2 and allowed to free access to food and water.
Body weights of dams and pups were measured twice a week. Food intake was
monitored during the last 4 weeks before mating for dams, and during 4 weeks
in the post-weaning period for pups. After 20 weeks on the C or P diet,
adult offspring (age: 6 months) were sacrificed (between 9 and 11 a.m.),
either in a postprandial state (4 groups), or after overnight food
deprivation and 30 min after intraperitoneal injection of recombinant ratleptin (1 mg/kg) or physiological saline. Blood was collected on heparin (10
IU/mL) and tissues (hypothalamus and liver) were quickly removed. The
hypothalamus was immediately frozen into liquid nitrogen and the liver was
weighed.
Experiment 2
Fifty-six old females and 16 males (aged 8-weeks) were caged by 2 and given
commercial pellets (Safe 113) for one week of adaptation. Females were
randomized into 2 groups (n = 28) according to the
control pellet C diet (Safe 113) or the hypercaloric HF diet provided
ad libitum for 6 weeks before mating and throughout
gestation and lactation. Litters were adjusted to 10–12 pups at birth.
Pups were randomized into four groups, according to gender and maternal C or
high-fat (H) At weaning when aged 26±1 days, all were assigned to the
chow diet for 7 weeks, then in each group, half of the animals were switched
to the obesogenic P diet for 13 additional weeks, while the others were
maintained on the chow diet. The 8 groups were named according to gender (M
or F as 1st letter), final diet (C or P as 2nd letter) and maternal diet (C
or H as 3rd letter) (Fig. 1). The body weight evolution of rats was registered every
week and daily food and energy intakes assessed during the diet challenge.
The animals were sacrificed when aged 6 months, after an overnight food
deprivation. By analogy with the body mass index (BMI) in humans, a
corpulence index (expressed in g/cm2) was calculated from the
body weight (g) and the naso-anal length (cm). Blood, liver and hypothalamus
were removed as above.
Biochemical analyses
Recombinant ratleptin was produced as previously described [36]. Phospho-STAT-3 (Tyr705),
STAT-3, phospho-ERK and ERK antibodies were purchased from Cell Signaling
Technology (Danvers, Massachusetts, USA). Secondary antibodies (from mouse and
rabbit) conjugated to peroxidase were purchased from Sigma-Aldrich (Missouri,
USA). Other chemicals were generally purchased from Sigma-Aldrich (France).Plasma glucose, cholesterol and triglyceride levels were measured by enzymatic
procedures using commercial kits (Elitech, Salon de Provence, France), by means
of an automatic analyzer (Abbott VP, Rungis, France). Insulin and leptin were
assayed by radioimmunoassay using commercial diagnostic kits (Linco Research,
St. Louis, MO, USA). The homeostatic model assessment for insulin resistance was
calculated from insulin and glucose concentrations [37].
Western blot analysis
Samples were prepared as previously described [38]. Briefly, frozen
hypothalami were homogenized in lysis buffer (10 mM Tris-HCl (pH 7.5), 150 mM
NaCl, 1 mM EGTA, 1 mM EDTA, 0.5% nonidet-P40, 1% Triton X-100,
protease inhibitor cocktail (0.35 mg/ml PMSF, 2 µg/ml leupeptin, 2
µg/ml aprotinin) and phosphatase inhibitor cocktail (10 mM sodium
fluoride, 1 mM sodium orthovanadate, 20 mM sodium b-glycerophosphate, 10 mM
benzamidine). After lysis in ice for 90 min, insoluble materials were removed by
centrifugation (15,000 rpm at 4°C for 45 min) and protein concentrations of
the resulting lysates were determined using a protein assay kit (Pierce, Perbio
Science, France). Proteins (50 µg) were subjected to SDS-PAGE and
transferred onto nitrocellulose membranes. Blots were blocked with 5%
non-fat milk and then incubated in the presence of appropriate primary and
secondary antibodies. Following nitrocellulose membrane washing, targeted
proteins were revealed using enhanced chemiluminescence reagents (ECL, Amersham
Life Science, France). The intensity of bands was determined using Molecular
Imaging apparatus (Vilber Lourmat, France) and BIO-1D software.
Quantitative RT-PCR
Total RNA from hypothalamus and liver was extracted using Trizol (Invitrogen,
France) according to manufacturer's recommendations. 1 µg of total
denatured RNA was reverse transcribed, and the resulting cDNAs were submitted to
quantitative PCR. The PCR primer sequences used were as follows, UCP-2 forward:
5′TGGCGGTGGTCGGAGATAC3′, reverse:
5′GGCAAGGGAGGTCGTCTGTC3′; NPY forward
5′ATGCTAGGTAACAAACG3′, reverse 5′ATGTAGTGTCGCAGAG3′; POMC
forward: 5′AGGTTAAGGAGCAGTGAC3′, reverse: 5′CGTCTATGGAGGTCTGAAGC3′;
LEPRb forward 5′ ACCACATACCTCCTCACACTA
3′, reverse 5′ AGCAGTCCAGCCTACACTCTT 3′; AdipoR1 forward
5′GCTGGCCTTTATGCTGCTCG3′, reverse
5′
TCTAGGCCGTAACGGAATTC3′; AdipoR2 forward 5′ ATAGGGCAGATAGGCTGGTTGA3′,
reverse 5′GGATCCGGGCAGCATACA3′; 18S forward
5′TCCCCGAGAAGTTTCAGCACAT3′, reverse
5′CTTCCCATCCTTCACGTCCTTC3′. Real-time PCR was
carried out using the Step One apparatus (Applied Biosystems, USA) and the Fast
SYBR Green Master Mix (Applied Biosystems, USA). A ratio of specific mRNA/18S
amplification was calculated, to correct for any difference in efficiency at
RT.
Immunohistochemistry
One-month old male (n = 10) and female
(n = 6) rats born to C or HF dams were used for the
immunohistochemical detection of glial fibrillary acidic protein (GFAP) and
laminin in the ARC. After deep anesthesia with a ketamin (75 mg/kg) and domitor
(0,5 mg/kg) cocktail, animals were perfused with 100 mL of phosphate buffered
saline (PBS) 1× pH 7.4, followed by 500 mL of 4% paraformaldehyde
in PBS 1X. Brain sections (50-µm thick) were cut with a microtome (HM
650V, Thermo Scientific Microm, Walldorf, Germany) before being incubated with a
monoclonal mouse anti-GFAP antibody (1∶1000, Sigma) and a rabbit
polyclonal anti-laminin antibody (7∶1000, Sigma) for 12 h at 4°C.
Primary antibodies were then visualized with a donkey anti-rabbit IgG coupled to
FluoProbes-488 (FP-488; Interchim, Montluçon, France) or a donkey
anti-mouse coupled to cyanine-5 (Cy5; Jackson Immunoresearch Laboratories;
Suffolk, UK) antibodies (1∶500). Immunofluorescence (IF) was examined
under a confocal microscope (Zeiss LSM 510 system, Germany). Optical sections
were taken through the Z axis at 1 µm intervals and averaged four times.
Quantification was performed with ImageJ 1.36b software (NIH, USA). Perivascular
GFAP coverage was assessed by measuring the GFAP-positive fraction on blood
vessels contours in whole bilateral ARC and after background subtraction. This
operation was performed on six different vessels throughout six different
sections homogenously distributed through the ARC in each animal.
Statistical analysis
Statistical analysis was performed using (Stat View Software, ver.5) to detect
significant intergroup differences. Values were expressed as means ± SE,
and P<0.05 was considered statistically significant.Detection of α MSH (upper panel) and AgRp (lower panel) in male offspring
rats born to dams fed a control (CC) or high-fat diet (HF) in the arcuate
nucleus at weaning.(TIF)Click here for additional data file.
Authors: L Attig; G Solomon; J Ferezou; L Abdennebi-Najar; M Taouis; A Gertler; J Djiane Journal: Int J Obes (Lond) Date: 2008-04-01 Impact factor: 5.095
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